December 2020; papers of the month

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 1 December 2020

⏱️ 37 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to December's Papers of The Month Podcast! Three more papers for you which will challenge and inform you practice.

First up we have a look at a systematic review and meta-analysis which considers the fluid choice in resuscitating those patients with suspected traumatic brain injury in the prehospital setting; should we be reaching for the hypertonic solutions, or is an isotonic fluid such as normal saline adequate?

Next we take a look at a paper that has received a lot of online discussion which looks at the two approaches of antibiotics or surgery for an appendicitis. This is a randomised control trial that looks to answer a question that the literature has dipped into over the last few years, but this RCT goes that bit further and will help give patients a good idea of the pro's and con's of each approach.

Finally we take a look at the UK national approach to oxygenation strategies in those patients receiving a prehospital emergency anaesthetic. How many clinicians provide PEEP, how commonly implemented is apnoeic oxygenation and do we all ventilate through apnoea? Gaining an understanding as to where our practice sits compared to others gives us the opportunity to consider the potential benefits and downsides of various strategies and may help unify practice to more streamlined working and better outcomes for our patients. We also get the opportunity to hear thoughts on the subject from one of the authors Dr. Amar Amshru, Emergency Medicine and and Pre Hospital Doctor in London and with Kent Surrey and Sussex Air Ambulance.

Enjoy!

Simon & Rob

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.2	So hi, and welcome back to the recess room podcast.
0:15.7	I'm Simon Lang.
0:16.9	And I'm Rob Penwick.
0:18.0	And this is December 2020's Papers of the Month.
0:22.1	Indeed it is. As always, we've got three cracking papers for you to have a listen to whilst you warm your cockles by the fire or more probably by your car heaters on the way to work, I think.
0:32.4	We've got a paper on pre-hospital fluids for traumatic brain injury. We have antibiotics or surgery for appendicitis
0:38.6	and we have a final paper on oxygenation strategies for pre-hospital anaesthesia. So it should be a
0:44.8	cracker. See what I did there? You're trying to allude to the fact you made a joke because
0:48.4	I'm very glad you highlighted it. This is a tough audience. This is a tough audience. you better be in a better move for the papers
0:57.3	when we get there can only work with what i'm given i bet you're like scrooge mate i bet the
1:01.7	decorations ain't coming up until the 24th and they're down on the 26 aren't you at your house
1:06.1	they're all up actually thanks very much are they really oh wow didn't do any of it myself
1:10.6	anyway right so before we get on with the podcast a big actually. Thanks very much. Are they really? Oh wow. Didn't do any of it myself. Anyway, right.
1:12.8	So before we get on with the podcast, a big thanks to SJ.Trem, the Scandinavian Journal of Trauma,
1:18.5	resuscitation and emergency medicine who collaborate with us on this podcast and are in a free
1:22.9	open access journal covering articles on all the sorts of topics you'll find here on the Reussus Room podcast. So make sure you go over and have a look at their website and their
1:31.9	fantastic articles after you've had listened to the podcast. And if you haven't done already,
1:35.7	make sure you register with our CPD portal where you can listen to this podcast, then answer
1:40.0	a few questions at the end of it. It'll then spit that out into your CPD diary, where you can
1:44.6	record all the podcasts you listen to here, gain certificates for them, and indeed record any
	...

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